The introduction of a multidimensional measurement model for the recovery of Addiction
The sun was probably revolve around the earth for 1500 years. Only a European astronomer named - Nicolaus Copernicus first modern heliocentric theory of the solar system, we have begun to change our thinking formulated. This insight ultimately led to a paradigm shift in astronomy and physics. Every model or viewpoint for recovery maintains the integrity and the importance ofits position, often to the exclusion of other explanations. For example, there are recovery models and theories: biological, psychological, social, cultural and spiritual able to explain all human behavior. Unfortunately, these factors may also "blind" to their followers to alternative interpretations, until some new evidence is obtained that solves the problem is not resolved. My hope is that the 7 - Dimensions recovery model for the dependencyThe measure is a step towards a type of "Copernicus" paradigm.
Since human behavior is so complex, try to understand the reasons for using more people and / or abuse themselves with drugs and / or dependencies maladaptive behaviors, to the point of developing self-destructive behaviors and / or other lifestyle or dysfunction is itself enormous damage difficult to achieve. Many researchers therefore prefer to talk about risk factors, mayHelp but not enough to cause addiction. They indicate an eclectic approach to bio-psycho-social, which includes the multi-dimensional interactions of genetics, biochemistry, psychology, socio-cultural and spiritual influences.
Risk factors / contributing factors / influences:
1. Genetics (family history) - is known to play a role in causing susceptibility through biological pathways such as metabolism and sensitivity to alcohol and / or other drugs or playaddictive behaviors.
2. Biochemistry - the discovery of morphine-like substances called endorphins (runners, etc.) and the so-called "way of pleasure" - the path of the mesocorticolimbic dopamine (MCLP). This is the center of the brain or any anatomical location, the base dependencies for alcohol and other drugs stimulate to produce euphoria - the objective to achieve the desired time (tolerance - loss of control -Cancellation request).
3. Psychological factors - personality traits that susceptibility to the development of stress, and the desire for power reduction and symptom of various mental health problems and traumatic life experiences.
Our current healthcare system is set up to focus on acute care rather than chronic diseases. It focuses on a single model in which the syndrome only addressed the marker for the success of specific treatment or symptom reduction. Healthcare consumers are increasinglyThe commitment to a multi-dimensional model considers a number of domains of life that affect the operation of the patient treatment progress. Busy-based meta-analysis also determined the predictive power of working life variables and the results have implications for treatment planning on a uniform that has little empirical support to predict. Accurate diagnosis is also dependent on a thorough evaluation of the multi-dimensional process with the help of a possible multidisciplinary treatment team approach. Behavioral Medicine physicians have recognized that although disturbance may be primarily physical or primarily psychological in nature, is always a failure of the whole person - not just the body or mind.
American Society of Addiction Medicine (ASAM)
The American Society of Addiction Medicine (2003), "Patient Placement Criteria for the treatment of related substances> Disorders, 3rd Edition "of procedures to set standards for the treatment of addiction to recognize a multidimensional, biopsychosocial assessment. ASAM has developed the following six dimensions specifically for the field of addiction with the aim of providing medical assistance in the process decision-making guidelines for the positioning of the patient:
1. Acute intoxication and / or withdrawal potential
2. Biomedical conditions and complications
3. Emotional /behavioral problems and complications
4. Treatment acceptance / resistance
5. Relapse / continued use potential
6. Recovery Environment
The ASAM dimensional descriptions have been developed to assess) the severity of illness (alcoholism / drug addiction. The severity of the disease level is then used, the type and intensity of treatment to determine the lead position to play in four levels of care help. should include the estimated size if the applicationactivities of daily living significantly alter the patient's impaired or distracted by abstinence, recovery and / or stability of treatment goals and efforts.
Seven dimensions of the model
In 2004, Addictions Recovery Measurement System (ARMS) has been issued - describes the following seven life-size operating activities for therapeutic outcome measures progress. As shown below, do the ASAM (disease severity), the dimensions are not the competitionseven "Life feature" size, but add depth description of abstinence / Relapse - Dimension 7. Each of the seven dimensions identified evaluation criteria:
1. Social / Cultural - Dimension
2. Medical / Physical - Dimension
3. Mental / Emotional - Dimension
4. Educational / Health and Safety - Dimension
5. Spiritual / Religious - Dimension
6. Legal / Financial - Dimension
7. Abstinence / Relapse -Size
a. acute intoxication and / or withdrawal potential
b. Biomedical conditions and complications
c. Emotional / behavioral conditions and complications
d. Treatment acceptance / resistance
e. Relapse / continued use potential
f. Recovery Environment
Note: These seven dimensions have been described) in 2005 in the book, Poly-behavioral Addiction and Drug Addiction Recovery Measurement System (Slobodzien.
The 7- Dimension recovery model is not on an extended version of the ASAM dimensions. As mentioned above, was initially developed to measure progress of the patient, assessing therapeutic life-functioning activities. Research shows that may be effective as a generalized model for the use of all pathological diseases, disorders and disabilities. It is multidimensional assessment / treatment includes the internal interconnection of multiple dimensions of biomedical to the spiritual - simultaneously influence each other, taking into account the effects of feedback and the existence of any size. Because of the complexity of human nature, treatment progress must be initially designed and conducted by an individual treatment plan on a comprehensive assessment bio-psycho-social problems on the basis of the specific goals, objectives, methods and timetables for achieving the identified treatment goals.
Life-Style> Addiction may affect many areas of functioning of the individual and often require multimodal therapy. Goals of treatment are to reduce the use and effects of drugs or achievement of abstinence, reducing the frequency and severity of exacerbations and improve the social and psychological functioning. Real progress takes time, effort and discipline in thinking about them, planning to work the plan and monitoring results to prevent a relapse.It also requires appropriate measures and strategies to motivate all progress in the field of individual life.
7 - Size is a non-linear dynamics, non-hierarchical model that is similar to the interactions between multiple risk factors and situational determinants of catastrophe and chaos theories in predicting and explaining addictive behavior and relapse concentrated. Multiple influences trigger and operate in high-risk situations and influence the global multidimensionalOperation of an individual. The process involves repeated interaction between background factors (eg, family history, social support, addiction potential and annual co morbid psychopathology), physiological states (eg, the physical withdrawal), cognitive processes (eg self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectations) and coping (Brownell et al, 1986;. Marlatt & Gordon, 1985). To put it simply, small changes in aindividual behavior may in large qualitative changes at the global level and global models of a system emerge solely from numerous little interactions. The clinical utility of the 7 - Dimensions recovery model is in its ability to support health professionals to quickly gather detailed information about an individual personality, background, substance use history, affective state, self-efficacy and coping strategies for prognosis, diagnosis, treatmentPlanning and outcome measures.
The 7 - Dimensions has been suggested that a synergy of multi-dimensional negative resistance that individual life has developed to offer some form of treatment to a single dimension of it, because the impact of their addiction have dynamically interacted multi-dimensionally. Once the fire is not enough in one dimension. Traditional drug treatment programs do not log onmultidimensional effects of an individual in synergy with multiple addictions (eg nicotine, alcohol and obesity, etc..) behavioral addictions interact negatively with each other and with strategies to improve the overall operation. They tend to promote the consumption of tobacco, alcohol and other drugs, help to reduce violence, the functional capacity and promote social isolation. Most theories now include the treatment that has examined other dimensions identifiedDiagnosis or diagnosis co-morbidity, or to evaluate the factors that may play a dual role dependent on individuals. The size 7 "theory is that a multidimensional treatment plan must be developed coping dimension of possible multiple addictions identified for each of the life of each individual dimension for the development of specific objectives.
The 7 - Dimensions theory promotes a synergisticpositive effect that light and can free the human spirit when life increase the size of the functioning of a person in the system of balance. Reciprocity between spirituality and multi-dimensional progress of the operation life lay deeper inner self and the changes in behavior. Below the 7 - Dimensions supports the theory that the combination can increase the functioning of an individual and balanced life, a strong synergy of various sizes,homeostasis mentally tough and positive individual. Just as the combination of alcohol and drugs (eg Valium), if applicable) together, a synergistic effect (the effects of power do not add up, but multiplied and the results can develop into an unbalanced lifestyle or addiction, a treatment efficacy and positive results are the result of a synergistic relationship with "The Higher Power".
The 7 - Dimensions model acknowledges that the familyThe conditioning factors and genetic bio-psycho-social, historical, and development are difficult and sometimes impossible, to change within individuals. The values of performance-based dependency Measurement System Recovery is the philosophy of a biopsychosocial model of disease, this perspective focuses on a cognitive-behavioral therapy in an attempt to change maladaptive thinking and improve skills and behavior on issues of collection to solve a and plan for sustainable development. ManyConsumer Healthcare Recovery Services Addiction is a genetic pre-dispositional history for addiction. They have suffered, and the past experiences of traumatic life continue to suffer (eg, sexual, psychological and physical abuse, etc.) and often by factors of there are psychosocial stress (eg stress at work, family / marital problems, etc.), leaving them with intense emotions and confusion (eg anger, fear, bitterness, fear, guilt, sadness, loneliness, depression andThe feelings of inferiority, etc.), enhancing their already low self-esteem. The complex interaction of these factors, the individual with much deeper psychological problems with self-hatred, self-punishment, self-denial, low self-control to let a low self-esteem and low self-esteem of a serious condition, with a total (sometimes hidden) negative self-identity.
The 7 - Dimensions model combines a multidimensional force field analysis to identify specific problems of individualforce for good prognostic factors, bargaining behavior, and a token "as" - the points system of economy for this task. force field analysis is a process to determine when the judge a person's behavior, which are the main factors of addictive behavior and are the key forces of control and dependence. A plan will be implemented to identify the factors inhibiting positive force in some way to manipulate these forces to increaseThe probability that the transition behavior to a person in a direction of pro-social recovery. Kurt Lewin (1947), which originally developed the Force Field Theory argues that there is a problem in balance held together by the interaction of two opposing groups of forces - those to promote change (driving forces) and those who seek the status quo (restraining forces to maintain). Any social event occurs at a certain frequency in a particular social context and the frequency of occurrence is dependentreduce forces on the event and strength of the event. At any time there is a "semi-stable equilibrium", the frequency of social events is the same, provided that there remain no change in the number and composition of the forces acting on the social event of increase or modification of the forces acting on to reduce the event. The balance in both directions, increasing the frequency or intensity changes the wayor braking forces and creating a corresponding increase or decrease in the rate of individual behavior "addictive."
The long term goal is the highest function of optimal health of consumers, not the mere absence of disease or reduce symptoms. The short-term goal is to accommodate the health care system and to assimilate, to change a multi-dimensional perspective of health care. The 7 - Dimensions model addresses low self-esteem -common - denominator "through the creation of value set and achieve goals, and monitoring 'dependence on performance of individual success.
Also, if you consider that the fields employed include balanced lifestyle, in semi-stable equilibrium force on 7 - promotes a degree in philosophy that there is a synergistic effect spiritual and supernatural, occurs when individuals in a ' increased operating life of more dimensions are ahuman homeostatic system. This spiritual connection bilateral reduces drag and increases the chaos to bring an individual harmony, wellness and productivity. The ARMS take an objective view of spirituality through the positive assessment of a person and / or negative spiritual and religious dimension of religious attitudes inventory (for instance, RAI is able to identify extremely unhealthy spirituality cult-like to the rigid and intolerant religious and militantOrthodoxy, practiced by some terrorists, etc..) Test results are integrated in the RAI-score prediction system.
The 7 - Dimensions model also supports twelve-step recovery groups such as Alcoholics and Narcotics Anonymous along with spiritual and religious recovery activities as a necessary means to maintain the efficacy results. The National Institute on Alcohol Abuse and Alcoholism recent research results on the active involvement with AA / NAthe decisive factor for sustainable recovery
Conclusion
The 7 - size model does not claim the results are the panacea for the ills of addiction treatment and progress, but it is a step in the right direction to obtain a change in clinical practice, such as systems processing plant to be built by changing evidence-based research on effective interventions. The challenge for those interested in conducting evaluations of resultsImproving the quality of care is a system that their assessment procedures, treatment programs will be developed, and clinical treatment practices for understanding. With due care to maintain a uniform system of base-line results of the statistics for their treatment, the effectiveness of programs despite the results, they will be able to assess the effectiveness of treatment.
For more information:
Poly-behavioral Addiction and Addiction RecoveryMeasurement System (ARMS)
a: [. dependence http://www.geocities.com/drslbdzn/Behavioral_ html]
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